Setor de Fisioterapia Aquática da Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brasil.
Setor de Fisioterapia Aquática da Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brasil.
Clinics (Sao Paulo). 2024 Jun 18;79:100416. doi: 10.1016/j.clinsp.2024.100416. eCollection 2024.
The objective of this study is to describe the rehabilitation of individuals with Congenital Malformations (CMF) during the use of an External Fixator (EF) in Aquatic Therapy (AT) and to analyze the association between diagnosis, EF type and location with rehabilitation process outcomes, surgical intervention, and adverse effects.
This retrospective study included 29 medical records from which the personal and rehabilitation data of the patient were collected. The AT used was described and the outcome variables were associated. The medical records were selected by screening the database of the CMF clinic at the AACD. The inclusion criteria were participants with CMF who used EF treated between 2011 and 2019 of both genders and without age restriction. The exclusion criteria were incomplete medical record data or not undergoing AT while using EF. The extracted data included diagnosis, gender, age, EF type and location, objective of the surgery, adverse events, surgical interventions, time of rehabilitation in AT, physiotherapeutic objectives, and rehabilitation process outcomes in AT.
The mean age of the participants was 12.1 ± 3.99 years, with male predominance (55 %) and hemimelia cases (37 %). The most used EF was circular (51 %), located in the femur (37 %), and the main objective of surgery was bone lengthening (52 %). The most recurrent adverse effect was infection (62 %) and 76 % completed AT. There was no association between the variables analyzed.
It was possible to describe CMF rehabilitation with EF in AT. There was no association between the variables analyzed.
本研究旨在描述先天性畸形（CMF）患者在使用外固定器（EF）进行水中治疗（AT）期间的康复情况，并分析诊断、EF 类型和位置与康复过程结果、手术干预和不良事件之间的关系。
这是一项回顾性研究，共纳入 29 份病历，收集了患者的个人和康复数据。描述了所使用的 AT，并对结果变量进行了关联分析。通过筛选 AACD 的 CMF 诊所数据库，选择了这些病历。纳入标准为：使用 EF 治疗的 CMF 患者，性别不限，年龄不限，纳入时间为 2011 年至 2019 年。排除标准为：病历数据不完整或在使用 EF 期间未进行 AT。提取的数据包括诊断、性别、年龄、EF 类型和位置、手术目的、不良事件、手术干预、AT 中的康复时间、物理治疗目标以及 AT 中的康复过程结果。
参与者的平均年龄为 12.1 ± 3.99 岁，男性占优势（55%），且以半肢畸形（37%）为主。最常使用的 EF 是环形（51%），位于股骨（37%），手术的主要目的是骨延长（52%）。最常见的不良事件是感染（62%），76%的患者完成了 AT。分析的变量之间没有相关性。
可以描述使用 EF 在 AT 中进行的 CMF 康复情况。分析的变量之间没有相关性。
